How To Use CPT Code 48102

CPT 48102 describes the percutaneous needle biopsy of the pancreas, where tissue samples are taken using a needle inserted through the skin. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 48102?

CPT 48102 can be used to describe the percutaneous needle biopsy of the pancreas. This procedure involves taking tissue samples from the pancreas using a needle inserted through the skin. The samples are then sent for pathological analysis to determine any abnormalities or diseases present in the pancreas.

2. Official Description

The official description of CPT code 48102 is: ‘Biopsy of pancreas, percutaneous needle.’

3. Procedure

1. The patient is appropriately prepped and anesthetized for the procedure.
2. The provider uses radiologic guidance to identify the pancreatic lesion.
3. A hollow needle is inserted through the skin and directed into the pancreas to obtain tissue samples.
4. Multiple specimens may be taken if necessary.
5. The provider ensures hemostasis by applying pressure on the wound.

4. Qualifying circumstances

CPT 48102 is performed when there is a need to obtain tissue samples from the pancreas for pathological examination. This procedure is typically done to investigate suspected abnormalities or diseases in the pancreas, such as tumors or inflammation. It is important to note that this procedure requires a qualified healthcare professional to perform the biopsy using a percutaneous needle.

5. When to use CPT code 48102

CPT code 48102 should be used when a percutaneous needle biopsy of the pancreas is performed to obtain tissue samples for pathological analysis. It is important to ensure that the procedure is performed by a qualified healthcare professional and that the biopsy is done using a percutaneous needle.

6. Documentation requirements

To support a claim for CPT 48102, the healthcare professional must document the following information:

• Indication for the biopsy and the need for tissue samples
• Details of the procedure, including the use of radiologic guidance
• Date and time of the procedure
• Number of tissue samples obtained
• Any complications or additional measures taken during the procedure
• Signature of the healthcare professional performing the biopsy

7. Billing guidelines

When billing for CPT 48102, ensure that the procedure is performed by a qualified healthcare professional using a percutaneous needle. It is important to follow the appropriate coding guidelines and ensure accurate documentation to support the claim. Additionally, consider any specific billing requirements or modifiers that may be necessary for proper reimbursement.

8. Historical information

CPT 48102 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A gastroenterologist performing a percutaneous needle biopsy of the pancreas to investigate a suspected pancreatic tumor.
2. An interventional radiologist using radiologic guidance to perform a percutaneous needle biopsy of the pancreas for a patient with suspected pancreatitis.
3. A general surgeon obtaining tissue samples from the pancreas using a percutaneous needle biopsy to diagnose a patient with unexplained abdominal pain.
4. An oncologist performing a percutaneous needle biopsy of the pancreas to determine the stage and type of pancreatic cancer in a patient.
5. An interventional radiologist performing a percutaneous needle biopsy of the pancreas to investigate a patient with abnormal pancreatic enzyme levels.
6. A hepatobiliary surgeon obtaining tissue samples from the pancreas using a percutaneous needle biopsy to evaluate a patient with suspected pancreatic cysts.
7. An interventional radiologist performing a percutaneous needle biopsy of the pancreas to diagnose a patient with autoimmune pancreatitis.
8. A gastroenterologist using a percutaneous needle biopsy to obtain tissue samples from the pancreas for genetic testing in a patient with a family history of pancreatic cancer.
9. An interventional radiologist performing a percutaneous needle biopsy of the pancreas to investigate a patient with unexplained weight loss and jaundice.
10. A hepatobiliary surgeon obtaining tissue samples from the pancreas using a percutaneous needle biopsy to evaluate a patient with suspected pancreatic neuroendocrine tumors.